Organization · Type 2 NPI
Podiatric Wellness Sports Medicine Center Inc
Podiatric Clinic/Center · New Egypt, NJ
NPI number
1508014242
Active
Practice location
10 Main St, Suite E
New Egypt, NJ 08533-1400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatric Clinic/Center Primary | 261QP1100X | 25MD00263400 (NJ) |
Podiatric Clinic/Center: Definition to come...
Another provider at this address
About NPI 1508014242
Podiatric Wellness Sports Medicine Center Inc's National Provider Identifier is 1508014242, issued on Sep 7, 2008. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in New Egypt, NJ. The record was last updated on Apr 13, 2011.